Journal Rnheals

When you do nothing, you feel overwhelmed and powerless. But when you get involved, you feel the sense of hope and accomplishment that comes from knowing you are working to make things better. As we start again our duty in the Rural Health Unit, we came into and agreed upon that we would be having our rotational schedule so that we would be convenient enough in rendering our services to our clientele.We have this attitude of being lazy sometimes because of this tiredness given by this paper works and so many tasks outside the Rural Health Unit, so to avoid pinpointing to our colleagues it is better to have this weekly rotational task to balance everything the situation inside and outside the Rural Health Unit, and to have a well-organized and effective quality of service to our patients.We have different areas in the Rural health Unit: Public assistance desk wherein we caught the attention of our incoming patients, ask the names who needs our service, gets the weight, height, give th e numbers in order, and give consideration to Senior Citizens, Pads and Pregnant women; Admission area: we sees the patients situation carefully , ask his/her chief complaint and conduct NC profiling regularly; Records Section: secures the family folder of the patient; Vital signs: Takes Blood pressure, respiratory rate, pulse rate, temperature; Call Center: Organizes the folders by number giving consideration for emergency cases, and calls the patient's name; Treatment area: Carries out Doctor's order, gives the right medications as ordered same as gives instructions and health teachings, assists in minor cases like suturing lacerated wound, does wound dressing; Special Lane:prioritize the senior citizens, pregnant women and Pads.And as we continue our service in the community we are again preparing for our monthly Family Development Secessionist our ACT families. Preparation arises when we had the schedule of our respected catchments. And for this month we guesthouse in Dengue, wh ich is incorporated this rainy season and it is one of the programs of the Department of Health. Basic information regarding dengue were taught to them, most especially the AS Contra DENGUE, which includes: Search and Destroy, Self- Protection Measures, Seek Immediate Consultation and Say NO to Indiscriminate fogging. That time, my ACT families together with my partner bargain were attentive enough in the discussion proper because somehow they have an idea regarding Dengue.Before the discussion proper happened, it is also our responsibility to check on their materials, especially their notebooks, ball pens, and of course their ACT Cards, and Totalitarian because this will serve as their attendance sheet to our Municipal Link, as a proof that they attended their monthly Family Development Allendale of activities for this month, which includes: National Kidney Month, No Smoking Month, Prostate Cancer Awareness Month 14 – World Blood Donor Day 14-18 25 26 – Safe Kids Week – DOD Anniversary – National Patient Safety Day – International Day Against Drug Abuse and Illicit Trafficking. These information were dispensed for them to be aware and be prepared for such circumstances.Since we are now part of the RAH family we need to have a thorough communication between our staffs and us Renewals especially with regards to work proper. It was hen that AMA May called our attention and our Midwives to have a convergence. She reminded us the tasks that we are expected to do inside the RAH and in the community that we should know how to balance and prioritize everything. Next, we had this so called open forum with our head nurse, AMA Myra because she was out for almost three weeks and she was not there to check on us. This open forum was done to listen to our colleagues on what was in their minds regarding our attitudes; the positive and negative ones.We speak out our issues and concerns with each there and naturally we settled all by giving one another a chance to talk and explained his/her part. Independence Day had come and we were invited in the Tree Planting Program of the Municipal Level at Bargain Amputation, Gallium's, ‘locos Sure. The companions we had were; Mayor Bilingual, the municipal staff, our police officers, and the RAH staff. There are three kinds of seedlings that we planted; we had this Mahogany tree, Melinda Tree, and the Coconut seedling. We were given attendance sheet by the representative of the EDEN to ensure that we had done the program. Management Meeting, held last June 20, 2013 at the old SUB-Municipal Hall.The meeting was composed of the different Bargain Captains, Chairman Committee on health in each bargain, Municipal Link-AMA Crisping Securing, DILL outgoing-AMA Amelia Roding, representative of CHAT partners, Bargain Health Worker president, Midwives, Renewals, RAMP, DOD Representative-AMA May Belabor and Doctor Santos, our Municipal Health Officer. This meeting was intended to giv e some reports and reviews regarding the KIP Project of the Department of Health and to present the efferent problems we had encountered during our community work especially during the Family Development Session and when it comes to the voluntary work of our CHAT partners, we asked questions and gave them answers and vice versa.Likewise, we had presented the different activities and accomplishments during our six month stay in the RAH and in the community. Despite of the stress and hard works in the Rural Health Unit and in the community, we always find time to make ourselves free from those stresses, find time to enjoy and make a day of fun. Time to share happiness and fun with our family in the Rural Health Unit. LEARNING INSIGHTS Responsibility walks hand in hand with capacity and power. Lam unpredictable, I never know where I'm going until I get there, I'm so random, I'm always growing, learning, changing, I'm never the same person twice. But one thing you can be sure of about m e; is I will always do exactly what I want to do.With our six month stay in the RAH we had so much things to enjoy and learn, it was then that I realize and questioned myself if I learned anything, well, I am proud to say hat YES I learned a lot in my stay at the RAH. I always dreamt to have a work in the hospital but this opportunity came through and I never neglected accepting this Job. During our meeting with AMA May and our Midwives, it reminds me with the work we should do, balancing everything and proportioning is very important because we have those days that we really need each other's help, and there is nothing wrong with that particularly in rendering patients care in the RAH level.During my Family Development Session with my ACT families, it was then that my attendance and value of communication was given to them. I had the chance to confront them together with my CHAT partners and I ask them frankly why they can accomplish their reports correctly and the forms were not c ompletely filled up. And have a schedule in doing the profiling, I will be accompanying them going to the houses of the NETS-PR families in their bargain so that there will be no reason again that they will not be able to comply. In order to enjoy the companion of others, we must have these characteristics; know how to share your experiences with others, respect one another, trust him/her, coprolite/give and take attitude, and have a mutual enjoyment.We are all born unique and with that uniqueness we are different individuals and we all have different personalities that we can share to the people around us. As we grow everyday, we cannot assure ourselves and others that we can't commit mistakes, we all have lapses and differences that we can't avoid to happen but be sure that those things were not intended to make yourself down and to hurt others; this will serve as your guide to make yourself better and uplift the people that surrounds you. With hat open forum, AMA Myra reinforced us again with our duties and responsibilities as individuals that we came to forget at times because we are already crossing the line. Everyday is a chance of learning.If we need to ask, we ask, don't Just do the thing without consulting others, and if you really want to learn don't be afraid to ask, we are not all equipped with others knowledge but by asking them we would be able to know and make things right without worsening it, avoiding mistakes, and lessening anomalies. Remember, we are dealing with people's lives. To be an initiator is your tipping stone to be a good leader, we are all leaders and we all have the right to listen with others thought and suggestions. Uplift the moral of others and learn to accept mistakes and change for the better not for worst because in the end still we are one. Being involved in the Tree Planting Program shows your love, concern, care, and respect in your environment. I was really hoping that I will be enjoying this event and I was not failed . I had fun and enjoyed, get to know with other municipal staffs and police officers.We Joined together as we plant the seedlings of different kinds, this ill serve as our contribution in conserving and protecting our mother earth and we will gain the statement of â€Å"Anglicanism ay Cayman†. Stress, stress, stress! That's my word to our DOD Representative 0. Preparation arises for the KIP and CHAT Management Team Meeting, pinpoint tasks to my colleague and work on different reports. Every now and then AMA May would call me, Angel do this, Angel check on this and so on. But that time made me not to think of tiredness and not give up because I wanted to make this meeting successful in part of the RAH staff, DOD, and other agencies involved.This had been a big break for me to see and challenge myself in managing such convergence as this. Cooperation was needed at this time and we had it, although some of my colleagues were talking some negative words still we came up into a su ccessful and meaningful meeting. Having initiative, being efficient and cooperative enough would be of great help in doing your responsibilities perfectly and absolutely. A big applause to each one of us! As the statement says, â€Å"KANANGA-KAYAK GUNG SAM-SAM! † With the said meeting regarding the problems in the community, here are some mints that we had noted: 0 Financial problems: The money given by the government were spent to other things.It makes the reason that they have no money for transportation to go in the RAH for their immediate consultation and Just wait for their health situation to worsen and needs treatment on higher facility. And for the reason that they have no money in giving birth in a birth facility they would still prefer to give birth in their home. 0 Consultations:still there are parent's who are not complying in the immunization of their child wherein they all know that it is very important and that's one of the best gift that they can give to them. Onto pregnant women, some of them were not having their prenatal check- ups, still there are hard- headed which may cause them the risks on pregnancy.

President of the United States Essay

The President of the United States, the chief executive officer of the federal government, the leader of the executive branch, and the commander in chief of the armed forces has certain constitutional powers. How much power does he really have? Does he have too much? Does he have too little, or not enough? In my opinion, I believe that the President of the United States of America has just enough power to run our country, deal with foreign and domestic policies, and fight the War on Terror In this essay, I will discuss my opinion, what the president’s powers are under the Constitution, and whether or not the president’s role has expanded beyond these powers in domestic and foreign policy. Under Article II, Section 2 and Section 3 of the Constitution, it outlines the powers and duties of the president. The President holds two main roles: he is the Head of State and is the Chief of Government. The powers and duties that fall under these roles are identified as two main sources of power; his expressed powers and his delegated powers. The expressed powers are specifically defined powers that cannot be revoked by Congress or any agencies without an amendment to the Constitution. The delegated powers are the powers given to the president by Congress. Examples of expressed powers are the authorization to make treaties, grant pardons, and nominate judges and other public officials. The president also has the power to receive ambassadors and command the military forces of the United States. The delegated powers under Article II of the Constitution state that the President â€Å"shall take Care that Laws be faithfully executed†. These powers delegate that the President will only have the authority to carry out decisions through identification and development. Out of every country in the world, our president is the only one with both roles as the Head of State and Chief of Government. A third power, that is not stated in the Constitution, but is claimed occasionally by the President are inherent powers. The inherent powers are said to stem from â€Å"the rights, duties and obligations of the presidency†. These powers are exercised by presidents in times of war or national emergency. One of the President’s biggest powers that are applied as part of his inherent powers is the power to declare war. The President’s express powers are divided into five categories. The five categories are: Military, Judicial, Diplomatic, Executive, and Legislative. Beneath the Military category, it affirms that under Article II, Section 2; the President is provided the power as â€Å"Commander in Chief of the Army and Navy of the United States and of the militia of the several States, when called into the actual Service of the United States. † Beneath the Judicial category, it affirms under Article II, Section 2; the President is provided the power to â€Å"grant Reprieves and Pardons for Offences against the United States, except in Cases of Impeachment.† Beneath the diplomatic category under Article II, Section 2; the President is provided the power â€Å"to make Treaties by and with the Advice and Consent of the Senate. † Additionally, under Article II, Section 3; the President is provided the power to â€Å"receive Ambassadors and other Public Ministers. † Beneath the Executive category, it affirms under Article II, section 3; the President is authorized to see to it that all laws are faithfully executed. Additionally, Section 2 gives the chief executive power to appoint, remove, and supervise all executive officers and to appoint all federal judges. Under the Legislative branch, it affirms under Article 1, section 7 and Article II, Section 3 that the President has the power to participate authoritatively in the legislative process. The military authorities granted to the President are amongst the most important powers granted to someone leading the United States of America. As the President of the United States, you are granted the position as commander in chief. The position of commander and chief deems the President the highest military authority in the United States with control of the entire defense establishment. Additionally, the President is head of the nation’s intelligence network, which includes the CIA, NSC, NSA, and the FBI, which are among the most well regarded intelligence networks in the world. The constitution is the main principle in giving President’s the power to declare war; however, many Presidents’ decide to capture this power for themselves without consulting Congress. This is a resolution of Congress that the President can send troops into action abroad only by authorization of Congress, or if American troops are already under attack. For example, when President Bush responded to the attacks on the World Trade Centers in New York on September 11th, 2001 he ordered a major military campaign to overthrow the Taliban regime in Afghanistan. Again in 2002, President Bush ordered a huge American campaign against Iraq to overthrow the Iraqi dictator, Saddam Hussein, whom he believed had links to the terrorist network that attacked the United States. President Bush publically made it a point to state that he did not need Congress’s authorization to declare war against organizations deemed an imminent threat against the United States of America. This is what is called the War Powers Resolution. The Judicial Powers granted to the President of the United States give him or her power to grant reprieves, pardons, and amnesties. Additionally, it involves power over all individuals who may be a threat to the security of the United States. Presidents may use this power to grant a reprieve on behalf of a particular individual. An example of reprieve for one particular individual would be when President Gerald Ford granted a pardon for former President, Richard Nixon, for â€Å"all offenses against the United States which he †¦ has committed or may have committed.† The Diplomatic Powers declare that our President is also our countries â€Å"Head of State†, or its chief representative when dealing with other countries. The title of Head of State grants the President the power to make treaties for the United States. The power of receiving Ambassadors and other Public Ministers was pushed through Congress under President Washington’s leadership in 1793. This power allows the President almost unrestricted authority to review the claims of any new ruling groups to determine whether they indeed control the territory and population they claim is theirs. The Executive Power, which is another one of the most important power’s as chief executive states that the President must ensure that all laws are faithfully executed. Additionally, this appoints the President to assign, remove, and supervise all executive officers and federal judges. These powers, under the Constitution, basically appoint the President as the true Chief Executive Officer of the United States. Another component the President is granted as chief executive is â€Å"executive privilege†. Executive privilege claims that confidential communications between the President and close executives are to be kept confidential and are not to be revealed without express permission for the President. The Legislative Power is broken down into two Constitutional provisions. The first of these provisions is under Article II, Section 3 of the Constitution and it states that the President â€Å"shall from time to time give to the Congress information of the State of the Union, and recommend to their consideration such measures as he shall judge necessary and expedient.† The second provision states the President has the power to veto. The veto is the President’s constitutional power to turn down acts of Congress. Other powers that are granted to the President are his â€Å"Delegated Powers. † These powers are not found in the Constitution but are product of congressional statutes and resolutions given to the President over the last century. The delegation of powers has been an almost inescapable consequence of the expansion of government activity in the United States. In conclusion, my belief is that the president has just enough power to run our country, deal with foreign and domestic policies, and fight the War on Terror. Because of the President’s two main sources of power, which are his express powers and delegated powers, it enables him to fulfill his duties and obligations without having too much power over our government and legislation.

Teaching Self-Care for counselors through Mindfulness Practices Essay

Teaching Self-Care for counselors through Mindfulness Practices - Essay Example The aim of the research is to analyze and evaluate most popular mindfulness practices and their application in teaching self-care. The practical significance is that counseling work calls for a primary focus on reality external to oneself, and mindfulness practices allow individuals to relief stress and emotional burden. The theoretical significant is a deep analysis of the current methods and practices used in teaching self-care for counselors. The study consists of three parts. The main questions addressed in the study are: What is the importance of mindfulness practices for counselors" what methods can be used in self-care practices What are the benefits of mindfulness practices approach The study is based on analytical assessment tools. Work is a natural part of living, and the issues it raises are important parts of a character. Work emphasizes the here-and-now and those aspects of oneself that have real-world utility. One is employed by a work organization because of one's ability or presumed ability to accomplish some productive goals. Work therefore emphasizes the rational aspects of people and problem solving, even though the affective side may arise from time to time (more so in some occupations than in others) in the attempt to meet those goals. Anxiety, stress, burnout and depression are the main disorders typical for counselors. Counselors who, through poor selection or unanticipated work dysfunctions, become marginal to the major or primary purposes of the organization, are removed, assisted to change, or kept on, although unproductive, in recognition of past accomplishments and contributions or in fulfillment of an actual or psychological contract that promises continuous employment. Critics (Lewis et al 2003) underline that teaching self-care for counselors should be based on mindfulness practices which help to overcome anxiety, stress and prevent emotional and psychological disorders. Anxiety, according to Snyder and Lopez 2002), has been experienced persistently throughout history, reflecting "an inevitable part of the human condition" (p. 134). As with its occurrence in other contexts, anxiety concerning one's work can be transient and situational (e.g., the type encountered in a job interview), or it can be almost incapacitating, preventing one from getting to the workplace or completing a workday without major disruptions (Brown, 1996). The dread may be so great that the client avoids work altogether. In between are multiple variations. A commonly shared theme, however, is the experience of dysphoric affect and the general tendency to avoid situations engendering the anxious feelings. he "stressful events" approach to anxiety, although productive, has incre asingly been questioned for its failure to identify differential responses to the same stressor. Concerning its effect on performance situations, however, anxiety, whether of a state or trait nature, generally serves to lessen the quality of the performance (Brown, 1996). Perceived psychological stress appears to lower satisfaction with work. Apparently, men and women do not differ per se in the experience of occupational stress, although the conditions that are more likely

Direct Manipulation Assignment Example | Topics and Well Written Essays - 1000 words - 1

Direct Manipulation - Assignment Example This involves the continuous representation of given subjects and objects in addition to the rapid, incremental and reversible actions and their subsequent feedback. As a single characteristic, in reference to a class of various interaction styles, direct manipulation entails the direct mapping, between the semantic and syntactic level of dialogue/ interaction. The three core principles are found in direct manipulation. These include: - the end result of a systematic replacement of complex computer command-language syntax with the direct and visual manipulation of the object(s) under focus; the continuous representation of actions and objects of interest in relation to meaningful visual imagery; which is followed by the presence of rapid, reversible incremental actions, immediately visible in the objects or actions of interest. In the context of video game application, the first indicated principle is achieved through physical actions (button presses), rather than the use of typed commands (Shneiderman & Plaisant, 2010). Through varying gaming pads, the other two principles are achieved best in a 3D dimension, where the objects and actions fit into role-playing games. Users are able to control virtual avatars, with the keypad buttons enabling the change of movement, scenery, actions and interactions in the virtual worlds present. Video gaming interfaces are unique in nature, with the aspect of 3D enabling greater contrast, between the virtual and real (physical) worlds. The user, interacting with the present operating system (hardware and software), is able to manipulate directly, existing objects to perform specific actions. Such systems enable the reversal of such actions, in addition to the creation of virtual reality unimaginable in the existing physical world. This entails the direct interaction between the user, and the objects/ actions, thereby enhancing

World History and Cultures Essay Example | Topics and Well Written Essays - 500 words

World History and Cultures - Essay Example Writing is one of the most important inventions mankind has devised throughout history as without it, history isn’t possible. Oral traditions have long been lauded as having certain significance in carrying forward the ideologies of a given group of people, but, as can be simply proven among even small groups, oral history is not intended to be nor can it be entirely accurate. The story changes with the teller and the facts become blurred with myth. In addition, it can only be preserved for as long as there are people around interested in learning the stories and lore enough to be able to pass it down to the next generation, and a next generation interested in sitting around to hear it. The concept of the written word offers a similar mixture of truth and lies, but offers a means of preserving the history and traditions of a people. The earliest writing, the Sumarian cuneiform, is believed to have developed as a necessary means of keeping business accounts. â€Å"Some time in the late fourth millennium BC, the complexity of trade and administration in the early cities of Mesopotamia reached a point at which it outstripped the power of memory of the governing elite. To record transactions in a dependable, permanent form became essential† (Robinson, 1995, p. 11). However, many scholars do not consider these early forms of pictographs true writing. â€Å"Writing only started when an organized system of signs or symbols was created that could be used to clearly record and fix all that the writer was thinking, feeling, and capable of expressing† (Ouaknin,1999, p. 18). This definition seems too broad, though, as many poets and writers will attest that there simply aren’t available words to express all that they are ‘thinking, feeling and capable of expressing’. This form of pictorial record-keeping did seem to have a relatively standard format among merchants and was capable of conveying at least some of the ideas of the writers. It can also be

Airport security - Government's use of invasive pat-downs and body Research Paper

Airport security - Government's use of invasive pat-downs and body scans are essential to ensure passenger safety - Research Paper Example Ten years may have come and gone, yet the consequences of that singular event have forever changed the outcome of human civilization (Mitcherner-Nissen, Bowers and Chetty, 2011). The 9/11 terrorist attacks have invariably led to the tightening of security measures being undertaken all over the world. In the United States, legislative enactments have been undertaken placing security administration and defense management among the considerations to be deemed as state priorities (Mitcherner-Nissen, Bowers and Chetty, 2011). The operation of the airport has been taken over by the federal government following clear indications that there has been significant lapses in judgment and laxity of control in airport management which have exacerbated the 9/11 attacks (Parks, 2007). As a result, the United States government took over the helm of the battle against terrorism and called for the support of all nations in the international arena (Parks, 2007). With the enhancement in security measures being undertaken in US airport terminals, there has been a move towards the utilization of advanced equipments such as whole-body scanners and backscatter scanners in addition to the physical pat-downs being performed (Mitcherner-Nissen, Bowers and Chetty, 2011). However, ethical issues have caught the attention of many people as the mentioned scanners appeared to have been too detailed in its examination stepping well into the basic human right to privacy (Schauer, 2011). But the fact remains that there are those who would argue that such is a small price to pay for the relative enjoyment of peace and security of the greater many (Mitcherner-Nissen, Bowers and Chetty, 2011). In this debacle, one thing is certain, that no matter which side wins, both sides stands to benefit and both likewise stands to be injured concomitantly. Airport Management and Operation Patankar and Holscher (2000) described the airport as a highly complex set of schematic organization that allows the entry a nd egress of persons. As such, both movements to and fro are to be considered as security concerns that require efficient administration. To this end, it is vital to determine the momentous changes that US airports may have undergone in hopes of revolutionizing its operation and precluding the occurrence of an attack comparable to the 9/11 terrorist activities. Prior to the 9/11, the airport situation in the United States has been a highly efficient private affair that revolves around the rendering of services related to and relevant to the air transport of individuals from a point of origin into a point of destination. Prior to the 9/11 there was a general sub-optimal level of security in airports in US airports (Seidenstat, 2004). However, after the attacks, the United States government saw the need to change the management of the airport facilities to the federal system marking the transition of the said facility from a implement of transportation into a tool that has the capacit y to paralyze the country (Seidenstat, 2004). The transition of the airport facility into the hands of the federal government was triggered by two major issues (Seidenstat, 2004). These are: (1) the laxity of the control measures implemented by the utilization of private security firms; (2) the failure of the government to

Network Remote Access Essay Example | Topics and Well Written Essays - 1250 words

Network Remote Access - Essay Example On this logical connection data packets are constructed in a specific VPN protocol and are encapsulated within some other carrier protocol then transmitted between VPN client and server. The name itself signifies that the client has to it self has to initiate or to manage the connection. The VPN client has to first establish a connection to the carrier and then the VPN client will create a tunnel to the VPN server over the logical live connection. In compulsory tunneling the Internet service provider has to manage VPN connection setup. When the user in this case an employee away from the office tries to establisha connection to a local carrier, the ISP inurn establishes a connection to the VPN server. If we look from the clients point of view, Compared to voluntary tunneling compulsory tunneling sets up a VPN connection in just one step instead of two steps in a voluntary tunneling. This kind of tunneling authenticates the users or the client and then connects them with the specific VPN servers using specified logic built into the broker device. The network device that comes into picture for compulsory tunneling is some times called FEP (front end processors), Network access servers (NAS) or point of presence (POS). The basic function of compulsory tunneling is to hide the details of server connectivity from the VPN client and then moves it's control from client to local carrier. Using a dialup connection also a connection can be esta... The network device that comes into picture for compulsory tunneling is some times called FEP (front end processors), Network access servers (NAS) or point of presence (POS). The basic function of compulsory tunneling is to hide the details of server connectivity from the VPN client and then moves it's control from client to local carrier. The additional burden for the service provider is the he has to install and maintain the front-end processors. There are number VPN tunneling protocols available, which are presently implemented in various VPN applications. The most widely used are. 1. Point-to-point tunneling protocol. (PPTP) 2. Layer Two Tunneling Protocol (L2TP). 3. Internet protocol security (Ipsec). 1. Dialup connection using telephone line. Using a dialup connection also a connection can be established to a VPN server from a remote place. But dialup connection is adequate to connect to an E-mail server. It lags in terms of continuous contact with the server due to frequent disconnection. So, connectivity and reliability is not associated with this type of connection, which are required for intensive and secure business applications 2. Dialup connection using mobile phone. VPN connectivity to the company's network using a mobile phone is also possible with a hand set having GPRS feature. This could be an ideal way for the employees who are always on the move. Connecting to company's network using mobile phone for prolonged duration is not advisable since there are chances of disconnection from the servers of the office network due to congestion in cellular network during peak time. Another disadvantage using a cell phone is that an employee has to compromise with the speed offered by the service provider. During an Internet

Oswestry Mutual Insurance Essay Example | Topics and Well Written Essays - 3500 words - 1

Oswestry Mutual Insurance - Essay Example are   thought   to   be   above   industry   average   cost   per   policy.   The   result   has   been   Omi   financial   solvency,   but   only   barely.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In   1991,   the   company   decision-making   process   was   highly   centralized.   The   growth   experienced   by   OMI   in   the   mid   to   late   1980’s   and   the   need   to   become   more   responsive   to   the   dynamics   of   the   industry,   top   management   decided   to   change   the   operating   structure.   In   1991,   they   reorganized   into   6   sectional-regional   profit   centers.   The   branch   offices   remained   at   68,   each   branch   office   reports   to   a   specific   sectional   profit   centre   and   sectional   office.   The   sectional   office   is   responsible   for   approving   all   policies   written   and   claims   filed   through   both   branch   offices   and   the   independent   agents   locat ed   in   that   region.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The head   office’s   is   suppose   to   establish   overall   corporate   policy   and   provide   support   to   6   sectional   offices.   The   head   office   in   Oswestry   and   the   sectional   offices   were   organized   on   a   functional   basis.   The   functional   units   in   all   locations   are:   Premium   Audit,   Underwriting,   Sales,   Claims/Losses,   Finance,   Human   Resources,   Loss   Monitoring   and   Support.   However,   even   though   the   operational   structure   was   decentralized,   most   of   the   information   services   still   remain   centralized   in   the   head   office,   which   includes   related   planning,   control,   budget   authority   and   decision- making   stays   at   the   head   office.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Computers   were   used,   at   first,   for   financial   and   statistical   report   production:   standard   MIS   reports   included,   profit/loss,   operations,   claim   data,   loss   ratios,   and  

Horse Salughter Essay Example for Free

Horse Salughter Essay The U. S. horse slaughter ban has had a huge impact on the equine industry. Attention Getter and Preview: To slaughter or not to slaughter, has been a controversial question for years in the American equine industry. On September 7 2006, congress passed the American Horse Slaughter Prevention Act, abolishing horse slaughtering in the United States. The U. S. horse slaughter ban has had a huge impact on the equine industry. Originally designed to stamp out cruelty that the horses in the industry were enduring, it is now a question of whether it only caused more harm. Also where to put the surplus of horses and the impact they have other equine is raising concern. Transition: To understand how it has made such a huge impact, it’s best to first understand why it was put into action. Body MP 1: The main reason this act was established is pretty clear in its name, horse slaughter prevention. a. According to the Humane Society of the United States, â€Å"[the act] was designed to stop the slaughter of nearly 100,000 American horses annually in three foreign-owned slaughter plants in the United States† (Drummond 2006). . The reason they wanted to stop the slaughter was to stop the cruelty horses experience in this industry. a. When a horse was sent to be slaughter it was sometimes a path of cruelty. Horses would be shoved onto a trailer, often times way past capacity so the driver could get more money. They would travel long distances unable to move and were withheld from water. Often times they were beaten and forced to live with untreat ed wounds, in unsanitary conditions. Uncover investigation led people to realize what was actually happening in the industry. Transition: Now this isn’t a problem, there is no more slaughtering in the US. But it means more live horses to tend to, ultimately leading to the biggest impacts this ban has on the equine industry. MP 2: Where the surplus of horses will go is the biggest impact. a. â€Å"The AAEP estimates an additional 2700 rescue facilities would be needed in the first year of the ban to care for the thousands of surplus horses† (AVMA Jan 15). That would mean that each of the 50 states would have to build 54 facilities. Audience Adaption: In Illinois that would mean roughly one for every two counties. With the price of feed and hay going up drastically due to droughts and ethanol production are these organizations really going to be feasible? Not only is that the question but is it humane to force some of these animals live? Take a totally blind horse for example, would it be humane to force it to live, how will it be able to find food and water? b. According to the American Veterinary Medicine Association, â€Å"The costs of euthanasia and environmentally safe carcass disposal can run as much as $400 and may be more than some owners are willing to pay† (AVMA Jan 15). Before this act the owner could actually make a few hundred dollars by selling the animal to a processer. Now some owners just abandon the animals or simply let them starve to death. c. Expert Opinion: An equine enthusiasts and an opponent to this act states, â€Å"That being able to process the animal would put value back in the economy, set people to work and provide an export product† (Yates 2008). According to American Veterinary Association, â€Å"In 2005, U. S. horse meat exports were estimated at 18,000 tons with a value of 61 million dollars† (AVMA Oct 15). These points aren’t the only financial negative to this act. d. With thousands upon thousands of surplus horses the price of the stock itself is dropping. Ranchers and horse raisers aren’t able to get the money that their horses are worth because potential horse buyers have so many other options. Transition: But don’t worry equine enthusiasts haven’t let the ban stop them. MP 3: Ranchers and equine breeders have found a way around the ban and have decided to export the horses out of the country to Mexico or Canada. . According to Scott Yates of Capital Press, â€Å"With the last three slaughter plants in the U. S. forced to close, horses are now being exported to Mexico and Canada to the tune of about 90,000 head in 2007. That is a 312 percent increase compared to the previous year† (Yates 2008). b. Okay so you might say good, we are still able to get rid of the unwanted horses in an economic way and no horses are being slaughtered with cruelty in t he United States. While this is true, it has been proven that slaughtering facilities in Mexico are much more cruel than their American counterparts. c. Expert Opinion: According to the American veterinary medicine association, â€Å"especially troubling is the treatment of the horses once they cross the border into Mexico. The Humane Society of the United States released a video showing the brutal stabbing death of a fully conscious horse at a Mexican slaughter facility† (AVMA Jan 15). d. So are we truly stopping the cruelty to horses? Sure we may feel better that it isn’t happening on our own soil but we are still the ones sending them off to their uncertain fate. e. This point has recently become an issue. a. Mike Stuckey of MSNBC news reported on September 24, 2008, â€Å"The emotional debate over slaughtering horses for human consumption gained new life in Washington this week as a House committee approved a measure that would ban the practice nationwide and halt the export of U. S. horses destined for dinner tables in other countries† (Stuckey 2008). b. If this law is passed that would mean that no horses would be slaughtered and no horses could be exported for the use of food, which will lead to an even larger increase in the number of horses in America. Conclusion Review: The U. S. horse slaughter ban has had a huge impact on the equine industry. I wasn’t here today to sway you one way or another on the ban. I just wanted to inform you of some of the consequences and impacts it has on the equine industry. We learned that it was put into place to stop the cruel slaughtering of horses on American soil. Then we found out that the problem hasn’t really been solved, horses are experiencing more cruelty than ever with longer rides and harsher deaths once they reach their final stop in a foreign land. There is also the issue of a huge surplus of horses that need care and are affecting the quality stock being raised across the country. Final Comment: Now that you understand the ban and its impacts. I leave you with this final thought. To slaughter or not to slaughter? That is the question!

The office of The Presidency Essay Example for Free

The office of The Presidency Essay Arguing for a strong, central figure of authority in the American President, Alexander Hamilton made his feelings quite explicit in Federalist No. 70 that duplicity in regards to the Presidency is an undesirable position. For Hamilton, history was replete with examples of shared responsibility or rule-by-partnership which provoked tragic results. The lesson of history, according to Hamilton, was to avoid creating any discrepancy in Presidential authority while simultaneously preventing the President in an American Constitutional democracy from becoming an autocrat. Although Hamilton leaves little room for second-guessing on the topic of a duplicitous leader, his reasoning admits that his ideas are based on an understanding of human nature: Wherever two or more persons are engaged in any common enterprise or pursuit, there is always danger of difference of opinion [ ] Whenever these happen, they lessen the respectability, weaken the authority, and distract the plans and operation of those whom they divide (Hamilton). This assertion, of course, begs the question as to whether or not leaders, even in a Constitutional democracy must be expected to rise, at least to some degree, above the mean average of human impulse. A counter-argument of sorts is presented in Madisons Federalist No. 51, which should be examined in tandem with Hamiltons assertions. Hamiltons ideas about human nature may be evident in the extant history of the United States. Presidential authority within the constitutional democracy of the United States has posed a continuous and evolving potential threat to the integrity of a government formed by the people for the people. Whether by the machinations and ambitions of the personally ambitious and influential, or by an endemic tendency for all social systems to unify and in doing so, centralize authority, a pattern of political and judicial evolution toward Presidential supremacy is evident in the political history of America. The mounting supremacy of Presidential authority in the United States presents a profound and complex challenge for the present generation and the determination of exactly where and how the Presidents authority can be checked will prove to be of great consequence for the future of not only domestic, but international, affairs. Hamiltons suggestion that a robust and energetic leader is a desirable consequence in a democracy: Energy in the Executive is a leading character in the definition of good government. It is essential to the protection of the community against foreign attacks; it is not less essential to the steady administration of the laws (Hamilton), the potential for the dangerous expansion (and possible supremacy) of Presidential authority exists within the original Constitution. The executive authority given the President led many of the original framers to express reticence regarding the development of a new monarch. Some modern political scientists believe that this is exactly what is taking place now and has been taking place over the course of US political history: we have changed our constitutional democracy into a political democracy[ ] substituted an unwritten for a written constitution and a government of laws for a government of men. This means that the principles of the American Revolution, as the foundation of our constitutional system, have been destroyed and that we have returned to the principles of the British system. (Patterson, 1947, p. ) Such a dire pronouncement may seem like hyperbole, however, several key points contribute to this rather scathing indictment. First, there is the issue of national unity, a fact which modern communications, transportations, educational and economic systems have made unavoidable. Since 1789 the movement toward national unity has developed far more rapidly. In this respect, we have only followed the law of the life of nations, beginning in isolation, passing through confederation, and ending in unity. (Patterson, 1947, p. 6) Unity heralds a sole leader, rather than a confedaration of leaders. Secondly, the two-party political system has allowed for the centralization of political power within the congress. The powers necessary for presidential supremacy had first to be centralized in the Congress before the control of the Congress by the President would give him national supremacy. The President has facilitated this movement by urging the Congress to seize power to enact his policies into law and by making appointments to the Supreme Court. (Patterson, 1947, p. 7) The movement toward unity entails the expansion of the federal bureaucracy, which in turn, enhances Presidential authority. The tremendous growth in the functions of the national government have necessarily multiplied executive agents by the hundreds of thousands. The President cannot perform this multiplicity of services without authority and without an army of subordinates. (Patterson, 1947, p. 77) These factors, plus the politicization of the ensuing civil and legislative offices, greatly enhance the scope of Presidential authority. The fact that the President has become our political executive is not exclusively a result of the development of political parties though without a party system, or a party in the totalitarian sense, there could be no political executive. (Patterson, 1947, p. 84) Perhaps one of the most critical and complex issues which faced the framers of the United States constitution was that of how to limit the government and associated governmental beuracacy while ensuring that the Federal government retained enough power and authority to interpret and enforce the constitution itself. As Madison remarks in the opening lines of his now-famous Federalist #51, there can be no more urgent an issue, nor one which so directly confronts both the self-interested nature of the individual, but the self-interested nature of government itself: to what expedient, then, shall we finally resort, for maintaining in practice the necessary partition of power among the several departments, as laid down in the Constitution? (Madison, 1788). The partition of power is a key phrase and contains within it the seeds of Madison answer to his own opening, rhetorical question. Madison offers a direct and seemingly mandatory vision of how the partition of power should be best accomplished: The only answer that[ ] by so contriving the interior structure of the government as that its several constituent parts may, by their mutual relations, be the means of keeping each other in their proper places (Madison, 1788). This conclusion is commonly referred to as the system of checks and balances upon which the democracy of the United States is founded. Madisons observations in Federalist #51 are frank and founded upon concerns that the basic self-interests of human-beings, coupled with the leviathan power of the State pose the continual potential for dictatorship and the subversion of the constitution itself. In this light, there is an almost exclamatory tone to Madisons writing and there is, without a doubt, a tone of warning in the following, famous passage: But the great security against a gradual concentration of the several powers in the same department, consists in giving to those who administer each department the necessary constitutional means and personal motives to resist encroachments of the others[ Ambition must be made to counteract ambition. The interest of the man must be connected with the constitutional rights of the place. (Madison, 1788) In Colonial times, no mistake would have been about just what kind of encroachments of others Madison meant to illustrate: the potential of personal ambition to trump the idealism of a democratic government founded upon principles of liberty and equality. Similarly, the idea of connecting the interests of the individual with constitutional principles is an exceedingly complex idea, but one which would have been explicit, in consequence, to the Colonial framers of the constitution. Madison means no less than: all citizens of a democracy must put the principles of that democracy, its traditions, its institutions, laws, and integrity above their personal ambitions and self-interests. The subtext of this, of course, is that all mens self-interests are ultimately best-served by a government which enables them to live free and which enables them to pursue their self-interests to a point of true liberty; however, the maintenence of the constitution and the democratic state, which are, in actuality, protections against the propensity of governments to turn oppressive and hostile, must be regarded as more essential, more important than the mere personal self-interests of those who serve in government. Against this summation, Hamiltons assertion that responsibility has two aspects becomes hat much more provocative: Responsibility is of two kinds to censure and to punishment. The first is the more important of the two, especially in an elective office. Man, in public trust, will much oftener act in such a manner as to render him unworthy of being any longer trusted, than in such a manner as to make him obnoxious to legal punishment (Hamilton). What Hamilton is saying is that the concentration of power and responsibility in the figure of the President leads to a greater amount of accountability in government. By contrast, Madison viewed the American people, as a whole, as being the firewall of the democratic traditions the President was theoretically bound to serve. However, the idea that individuals in high positions of power must function both as facilitators of the democracy but also as a check against the possible tyranny of the majority is also an idea which Madison sets forth in this paper which is quite a radical idea: Different interests necessarily exist in different classes of citizens. If a majority be united by a common interest, the rights of the minority will be insecure (Madison, 1788). In conclusion, Hamiltons Federalist #70 is one of the most important political documents associated with the framing of the US constitution and forms a remarkable counterpoint to Madisons thought. Both writings represent an attempt by the framers to pinpoint the points of danger and structural weakness in both the democratic form of government and the innate nature of the citizens who comprise that democracy.

Administration of Colonoscopy Reflective Account

Administration of Colonoscopy Reflective Account This essay aims to provide a reflective account of the authors personal and professional experience of a patient being admitted for a colonoscopy. To achieve this, a model of reflection will be used and a rationale provided to support this choice. The main point of discussion is communication and advocacy. Advocacy is central to communication and part of a caring nurse-client relationship (Arnold Boggs, 2003). The author as a newly appointed nurse on the Endoscopy Unit, will reflect upon how they could have been a better advocate for the patient in question. Ethical and legal issues will be examined. Finally implications for practice will be discussed. Using a model of reflection allows the nurse to re-appraise the care they have delivered to a patient/client and in doing so can evaluate the effectiveness of that care (Basford Slevin 1995), thus with the intention of influencing future practice for the better. Before starting the reflection process it will be more helpful for the professional to have a guideline or framework from which to work from (Palmer, Burns and Bulman 1994). Palmer et al (1994) view the process as something that is dynamic and they advise a cyclical style model using questions to provide a format for reflection. It is for these reasons that the Gibbs Reflective Cycle has been chosen (Gibbs 1998) for this essay. In accordance with the Nursing and Midwifery Council standards on respecting confidentiality in practice, all names and locations have been made anonymous (NMC 2008). As this is a reflective essay the author will refer to herself as I where appropriate. The reflective cycle is divided into six sections each with their own key questions. These are: Description: What happened? Feeling: What were you thinking and feeling? Evaluation: What was good or bad about this experience? Analysis: What sense can you make of the situation? Conclusion: What else could you have done? Action Plan: If it arose again what would you do? (Gibbs 1998) These areas for reflection provide the main topics for the rest of this assignment. When the practitioner has developed an action plan they can then return to the beginning of the cycle with the extra knowledge they have obtained from the first reflective experience (Gibbs 1998). It is here though with the description of the incident that the reflective cycle will begin. The following situation led me to question my actions when admitting a patient for a colonoscopy. The patient a 43 year-old male was referred for a colonoscopy by his GP following a three-week history of fresh rectal bleeding, anal itching (pruritus ani) and a change in bowel habit. Two weeks prior to the scheduled test, a pack containing a letter of appointment was sent to the patient by the endoscopy administration staff. Enclosed were two sachets of Picolax bowel preparation, full instructions for usage, highlighting the need to follow instructions precisely to ensure clarity of view and aid diagnostic accuracy. Included with this pack was a pre-endoscopy questionnaire to enable the nurse to assess the patients general state of health and identify any potential risk factors or complications, which may arise. A booklet was in this pack explaining the procedure, reasons for the test, complications and risks and what to expect during the test. The booklet stated other available investigations in order that he could make an informed decision and enable him to give informed consent for the test to go ahead. The Nursing and Midwifery Council (NMC) (2008) state that before any treatment or care is given to the patient, consent must be obtained. The BSG (2008) warn that consent issues are a major source of problems, sometimes leading to both complaints and litigation throughout the NHS. Therefore valid and robust consenting is now a required standard for the Endoscopy Global Rating Scale (GRS, 2009) which is a tool that enables endoscopy units to assess how well they provide a patient-centred service. Information in the booklet covered the option of sedation and the need for appropriate after-care. A consent form was enclosed for him to sign at home, providing the patient had read, understood an d agreed to under-go the procedure. A morning appointment was made for the patient and he arrived at the unit by himself. He was greeted by myself, I checked his personal details. This is in accordance with the BSG (2008) guidance for obtaining a valid consent for elective endoscopic procedures as it states that identity checks at key stages in the procedure are essential as some patients have even been known to undergo procedures intended for another due to loss of autonomy and anxiety which can result when entering the hospital. When this information was confirmed he was made to feel comfortable in the preparation room. The patient was clearly anxious. He was looking down a lot and he had his arms folded. He spoke very quickly and with a quiver in his voice one of the first things he said to me was, please knock me out for this. I explained to the patient that although we could give him some sedation which would make him feel more relaxed, he would still be awake as it would be unsafe to knock him out for the test. The sedation used for all endoscopic procedures is conscious sedation. This has been defined as: A technique in which the use of a drug or drugs produces a state of depression of the central nervous system enabling treatment to be carried out, but during which verbal contact with the patient is maintained throughout the period of sedation. The drug and techniques used to provide conscious sedation should carry a margin of safety wide enough to render loss of consciousness unlikely. BSG (2003, p3). He explained that he saw on the consent form that sedation would be offered and he interpreted this to be a general anaesthetic. I further explained to him that although the patient may feel sleepy, he would be conscious throughout the test and he would be able to talk to us. Cotton and Williams (2003) agree, believing that the desired effect of the sedation on the patient is sleepy, relaxed but rouse able. The patient clearly expressed a preference for sedation and it was established that the patients wife could collect him after his procedure and would remain with him over the next 24 hours. It is a requirement that any patient undergoing a procedure with sedation should be accompanied home by a responsible adult who will remain with them for 24 hours as sedative effects are known to remain in the body system for up to this period of time (Royal College of Surgeons, 1993). At this point, I as a newly appointed staff nurse on the unit was unsure whether the consent form that the patient had signed was valid as he originally thought that he was going to have a general anaesthetic when he had signed the form. I had been trained in taking consent which is documented in my e-portfolio as regards the national GIN training programme (Gastrointestinal in Nursing Training Programme), but was unsure what to do in this instance as I had never experienced the situation before. My initial thought was that is was not valid as the patient had a different perception of the test. I explained to the patient that I was just going to get some advice from my colleague (who had worked in the endoscopy unit for several years) as regards the validity of his consent form. I said that I would need to explain the situation to my colleague and he agreed to this joking that we did not both want to get into trouble from the headmaster and get a detention. I said that I would only b e a couple of minutes and left the room to find advice. I explained the situation to the nurse who was sat in recovery. The nurse said that the Endoscopist performing the procedure would go over consent again in the procedure room and not to worry about it. I expressed concern at this because I knew that consent must never be obtained in the procedure room. Guidelines readily available in relation to consent include British Society of Gastroenterology guidelines (BSG) (2008) and the Joint Advisory Group Guidelines (JAG) (2001). Booth agree that consent should not be taken in the procedure room. Guidance on good practice in consent implies that all patients must have had adequate time to absorb and reflect upon new information. This is not achieved if consent is obtained at the last possible moment which is in the procedure room itself. The nurse was dismissive and made unpleasant comments regarding men in general. There was a short distance between the nurse and the preparation room where the patient was so it is likely that the patient heard her remarks. I did not comment at this time even though I felt her remarks to be inappropriate. Luckily this gentleman was the first patient on the mornings list and as such, no other patients were in recovery to here the comments. The nurse picked up the patients notes and knocked on the preparation room door. I thought that I had better observe too as the nurse looked ready for a challenge. The nurse was very brusque in manner and asked the patient if he had read the booklet which the unit has sent out for the test and the section regarding sedation. The patient said that he had read the booklet and indeed the section regarding sedation but there was no mention that he would be awake after he had been given the sedative and assumed therefore that he would be asleep. The nurse then got a copy of the booklet. As she was flicking through trying to find the page with the relevant sedation information on, she said it clearly states in the booklet that if sedation is given, the patient will be awake throughout the test. However, when she got to the page regarding sedation there was no mention of this. It just stated that sedation would be offered prior to the colonoscopy but if the patient decided to have sedation that it was essential that someone was available to stay escort the patient home and stay with them overnight. The nurse went bright red, but did not apologise to t he patient and said that she was going to have words with the administration staff and left the procedure room. I felt guilty that I had not challenged the nurse regarding her rude manner with the patient at the time but felt intimidated and unable to voice my opinion, I also felt I had failed in my duty of care. I thought that the nurse had made a big deal when there was no need. I apologised unreservedly for my colleagues attitude and said that I would take steps to make sure that the booklet was clearer. I then realised that my original question regarding the consent form had not even been answered. I asked the patient if it was okay if I asked another colleague their opinion. The patient said yes but not that do-lally nurse and said that he would be making a complaint regarding her attitude. I then found the endoscopist who was actually going to be undertaking the patients test and asked them about the consent issue. They said that the consent form was fine as long as I reiterated that the patient would be awake and that they fully understood the test. The Endoscpist said that they would d iscuss the consent form with the patient again prior to the procedure as this is normal practice. I went back into the preparation room and said that the consent form was not a problem and that we would discuss it further. I spoke to the patient in a reassuring way, trying to compensate from his previous treatment from my colleague. I asked the patient if he understood the test he was about to have and its related risks. When I felt like the patient had a clear understanding of the procedure I asked him if he had any questions regarding the procedure, the patient replied he had no further questions. He added that he was even more nervous now after the experience with the nurse but just wanted it to be over as quickly as possible. I began to explain the procedure that he was going to undergo and asked if he knew why the GP had referred him for this procedure and relayed the benefits of viewing the bowel in this way. The patient was happy that a diagnosis might be forthcoming from this test. I then reiterated the possible risks of the procedure to the patient explaining that they w ere rare but never the less very real. The patient said that he understood the risks involved but wanted to go ahead with the test to obtain a diagnosis of his problems. I stated that if the patient was going to have sedation, then he should not drive or operate any machinery and should not sign any legally binding documents as the side effects from the sedation would still affect him for twenty four hours. I explained that the endoscopist would endeavour to complete the investigation however, if complications were to occur such as patient distress or poor bowel prep that the test would be abandoned. During a Gastrointestinal Endoscopy and Related Procedures Course at The University of Sheffield (Feb 2010, SNM 2215/3232) it was suggested that the guideline for informed consent was signified by the acronym EMBRACE, Explanation of the procedure, Motive for the procedure, Benefits, Risks, Alternatives, Complications and side Effects of the procedure. I believe that these guidelines were fully complied. Following the taking of a medical history and completion of a further in-depth health check questionnaire to ascertain any condition or reason to which sedation would be contraindicated such as elderly patients who may have significant co-morbidity and even in younger patients, the presence of heart disease, cerebrovascular disease, lung disease, liver failure, anaemia, shock and morbid obesity (BSG, 2003). It became evident that sedation would be an option. I explained to the patient that a nurse would be with him continuously throughout the procedure and would encourage him to breathe through any discomfort he may feel, or to push some of the air out of his bottom to relieve any pain. The patients blood pressure, pulse and saturations were taken and all were within acceptable limits. This provides a good baseline of the patients observations for the procedure itself and can determine any changes that may occur as a result of the cardio or respiratory depression that may be induced by sedation. Pascarelli (1996) states that during the procedure, the nurses primary responsibility is to monitor the patients vital signs along with communication with the endoscopist, administration of medications and emotional support to the patient. Clarke (1994) warns that patients who undergo invasive procedures are usually anxious and their vital signs are commonly elevated however the sedation lessens the anxiety, and all of the vital signs decrease therapeutically to that patients resting level. The sedation of choice in my workplace is intravenous Midazolam. Midazolam is a benzodiazepine reputedly well suited for use in endoscopy. It has an amnesic affect causing a reduction in memory recall. Clarke (1994) agrees saying that the goal of IV conscious sedation is some degree of amnesia. Patients will occasionally remember some parts for example, the initial introduction of the colonoscope. It is for this reason clear written discharge instructions are given to the patient prior to discharge, with a contact telephone number in the event of any problems and this was explained to the patient. Sedation may be indicated for many reasons. In the main these may include allaying of fears regarding a procedure, and aims to facilitate compliance with repeat procedures as a result of the amnesic affects induced. In many cases it assures co-operation and eases difficulties for the endoscopist and generally provides a rapid, safe return to the normal activities of daily living. The patient was asked to undress from the waist down and to put on the gown provided. When the patient was ready he was taken by myself into the procedure room and introduced to the endoscopist and the appointed staff nurses where the issues of consent and sedation would once more be discussed with the patient as it is the endoscopists ultimate responsibility. Throughout the experience, I felt that several important issues had been highlighted. One issue is that of the booklet that is sent out to the patients prior to the test. I believe that individual patients perspectives regarding the effects of sedation may vary greatly, from a mild sedative to a general anaesthetic. I conclude this to result from the individual interpretation of patient information received and relatives and friends giving a distorted image of their own experience due to the amnesic affect of the sedation. I would advocate good effective communication skills are paramount in allaying misconceptions and fears and the giving of a realistic overview is therefore essential. It was clear that there needed to be some improvement of the explanation of conscious sedation as I felt that is merely skimmed the surface explaining that the option of sedation was there and that there needed to be someone to escort the patient home and stay with them overnight. I felt that it needed to be clearer in the fact that it needs to mention that the patient will not actually be anaesthetised and furthermore that amnesia is a common side effect from the sedation given. This has subsequently been mentioned to the ward sister and the booklet has been updated to clarify conscious sedation. Perhaps one of the most obvious issues is that of the attitude of the other nurse. The BSG (2008) state that the patient must not be put under any pressure and have sufficient time to digest the information in order for consent to be valid. I felt that the attitude of the nurse in question did put pressure on the patient and caused further anxiety for the patient. I felt that the nurse spoke to the patient in a degrading way and showed a lack of professionalism. The Nursing and Midwifery Council (NMC 2008) state that nurses must treat people as individuals and respect their dignity, must not discriminate and must treat people kindly and considerately. This was not the case in the above example. The Equality and Human Rights Commission (2008) state that no matter your circumstances you should always be treated fairly and with respect when using healthcare services. The Department of Health (2008) cite the UK Human Rights Act in their guidelines about human rights in healthcare when they state that people have an absolute right not to be treated in a degrading way. This means that it is unlawful for the NHS organisations to act in a way that is incompatible with the human rights act. Endoscopy nurses and indeed all NHS staff should be thinking about their practice and how their response to a situation may impact on a patient or clients human rights. If the patient had chosen to complain (as he said he was going to do) about the nurses attitude towards him, then the nurse may have well been in trouble. This experience has made me question my future practice as a registered nurse and how I would deal with a similar situation. Arnold and Boggs (2003) suggest that an advocate is someone who speaks out; supporting a person so that their views are heard and their rights are upheld, with the sole purpose of maximising the patients health. I was not assertive as I did not defend the patient and therefore did not fulfil my duty of care by becoming an advocate for the patient, ensuring he was treated with dignity and respect. I was worried about what may happen if I challenged the nurses practice. I need to develop my assertiveness and be able to communicate confidently and effectively with both patients and health care professionals. It is quite easy for a nurse to be an advocate for the patient when there is no stress involved but it can be quite difficult when it goes against other health professionals (Kendrick 1994). In this instance there was a conflict between the patients best inter est and my fear of challenging the nurse. If I had been a more experienced nurse on the endoscopy unit and known the nurse involved in this situation better, I think I may have been able to foresee her reaction to the patient and perhaps may not have approached this particular nurse or used my communication skills together with advocacy to diffuse the situation. Gates (1994) states advocacy is one of the main responsibilities nurses have; it is part of communicating on behalf of the patient and/or their families, acting as a mediator to express their needs and experiences. In health care, communication is fundamental to promoting the safe and effective care of patients. The Department of Health Knowledge and Skills Framework (KSF) (DoH 2004) is a competence framework to support professional development and career progression through the NHS and is about lifelong learning. It has core dimensions essential to providing quality care. Core dimension 1 (level 4) is concerned with communication. It states that the purpose of communication may include advocating on behalf of others. In order for me to progress as a nurse on the endoscopy unit I need to be familiar with and work within the KSF and other guidelines. On reflection, I feel that I did communicate with the patient well. Smith (1995) proposes that reflection does not necessarily entail an incident that was dramatic or negative; it could easily be something positive that a person finds they obtain valuable learning experience from. Communication with the patient has to be one of the most important aspects of nursing care. An integral part of this process is the way a nurse should use and understand body language (Wilkinson 1991). It is as vital a part of the communication process as speaking and should be treated as such. Body language can convey all human emotions either consciously or not and can show a persons true feelings regardless of what they have said (Pease 1984). I could tell by the way that the patient was communicating non-verbally that he was anxious. His facial expressions and posture showed the classic signs of someone being anxious (Teasdale 1995). Seeing this, perhaps I should have explained to the nurse beforehand t hat the patient was anxious so that she may have acted with a bit more respect towards the patient. It is clear that good clear communication skills can improve patient satisfaction and compliance, thus reducing anxiety. I believe that during the admitting process with the patient I did actively discuss the procedure with the patient. I felt that I gave the patient opportunity to ask questions and allay any fears he was harbouring. I sat beside the patient and spoke to him about the procedure in an informal and pleasant manner, giving him opportunity to voice any concerns that he had. I believe that the patient is at their most vulnerable and anxious upon entering the endoscopy unit and some encouraging reassurance makes the patients experience less of an ordeal. It is my opinion that an assessment of a patients personality and level of understanding regarding consent and sedation enables the development of a communication strategy accordingly thus providing a sound knowledge of the test, sedation offered and therefore informed consent. This essay has allowed me to reflect upon my own practice and how I should have acted differently by standing up for the patient at the time, not allowing my own lack of confidence to prevent this. I understand that the care of the patient is my first concern and that I must work with others as a team to protect and promote the health and wellbeing of those in my care (NMC 2008). Perhaps with this understanding, I will be less anxious about felling inferior around other professionals. I will articulate my professional judgement given a similar situation, using what I have been taught which is the best evidence based practice to rationalise my reasons for questioning their practice. I will aim to develop my assertiveness (as I realise that assertiveness does not come naturally to me) to speak out in the interests of the patient, whatever the situation. I will develop my ability to communicate with both patients and other professionals to offer them the opportunity to rationalise their own care delivery and reflect upon it. I believe these actions will enhance my professionalism and promote best practice, in the interest of the patient. I had chosen to focus on communication and advocacy as these are areas in which I feel I need to work on. Gibbs (1998) reflective cycle was used in this assignment because it is a familiar tool that I have found to be useful and uncomplicated. Learning from an experience and then reflecting on that experience is an excellent way of improving the skills in my chosen profession (Kolb 1984). From my own personal point of view, I went into this assignment with some degree of emotional imbalance for the fact that I did not speak out for the patient but now I feel that I have gained in several areas. I feel my reflective skills have increased and with it my confidence regarding tackling such situations again. Also I feel more relaxed with the idea of reflecting uncomfortable incidences because I can see the benefits in doing so.

The Role of Women in The Stone Diaries Essay -- Stone Diaries Essays

The Role of Women in The Stone Diaries  Ã‚  Ã‚      Gender inequities have existed since the beginning of time.   The various roles assigned to men and women in society have served to perpetuate differences that even until the present have not been overcome.   These gender differences are evident in The Stone Diaries by Carol Shields.   Initially the main character, Daisy Goodwill, is a pathetic, weak woman whose only joy comes from appreciating the small things in life.   After a series of personal events, she changes dramatically and becomes a stronger individual.   Daisy’s continual need for self-reliance is fulfilled by the changing society around her.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Daisy’s initial character is anything but extraordinary.   She is ordinary in every way except her birth.   Neither of her parents knows her mother is pregnant.   Her mother dies in childbirth, leaving Daisy to find her place in society without her mother’s example.   Daisy grows up in a normal home, with guardians and basically lives a normal life.   Daisy’s moderate intelligence affects her both positively and negatively.   Daisy has certain fundamental needs, which sadly go unnoticed by those around her and even sometimes by herself.   Her appreciation of the small pleasures in life is attributed to her ordinariness.   As critic Geraldine Sherman points out, â€Å"Shields demonstrates there are no small lives, no lives out of which significance does not shine.   She makes us aware that banality, ultimately, is in the eye of the beholder† (47).   Her view of the beauty of nature and her cur iosity towards people in general portray this.   On the other hand, Daisy’s average intelligence causes her inability to express herself.   Her conversations with her mother-in-law to be, Mrs.Hoad, ... ...ne.† The Spectator, September 4, 1993: 28 – 29. Rpt. In Contemporary Literary Criticism. Ed. Bringham Narins and Deborah A. Stanley.   Vol. 91 Detroit: Gale Research, 1996. 167-168.     Fitzgerald, Penelope. Rev. of The Stone Diaries, by Carol Shields. The London Review of Books September. 1993: 19-22.     Pool, Gail. â€Å"Imagination’s Invisible Ink.† in Women’s Review of Books, Vol.XI, No.8, May, 1994: 20. Discovering Authors The Gale Group, 2000. Available via http://www.galenet.com/servlet/GLD/hhits?c†¦d&o=DataType&n=10
=d&NA=shields%2C+Carol. (28 march 2000).      Sherman, Geraldine. â€Å"Straining to Fulfill Ambitions.† The Globe and Mail 2 October.1993, natl.ed.: Cl+      Shields, Carol. The Stone Diaries. New York.: Penguin Books USA Inc. 1994.            Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚                       Ã‚  Ã‚  Ã‚     

effects of interracial relationship on children Essay -- essays resear

Effect of Interracial relationships and the child   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Interracial marriages can include the union between Asians, Hispanics, Blacks, Whites, and any other groups. However, when people talk about race relations, the focus is on Blacks and Whites. No matter what type of ethnic groups are involved in these type of relationships, one important result of these marriages are children. After doing some research and looking over some materials, I now have a strong understanding of the issues surrounding children of interracial marriages, and the problems parents encounter with their mixed race children. Children from interracial marriages are no longer denied the same benefits and privileges as the children prior to Loving. Celebrities like Tiger Woods may have changed society's views on interracial children, but are there more serious effects on these children than what is shown by Tiger Woods? More than 1.5 million children lived with biracial parents in 1990.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Many books have been out about the effects of interracial marriages on children. One of the biggest problems facing interracial children is an identity crisis. However, Tiger Woods and other famous children of interracial marriages have helped to...

Business process reengineering Essay

This article is about business process reengineering. business processes we can say is the core tasks that are carried out in departments in an organization for the ultimate goal of delivering a product and a high quality one at that and services to the satisfaction of the customer. Business process reengineering is the modeling of the existing processed to steer the organization towards better performance. This is not considered to be done over a long period of time but rather it is something which is done at once so in a way there is a change of the way things are done but the aim is to come up with a better way for a better benefit. Examples of business processes is the manner in which information flows in an organization,management, departmental tasks,, that is the sales and marketing, production, as well as operational and technical support. Business process reengineering strategy is to improve the business competitive advantage. In discussion is its scope and strength. In consideration is the size of the business alongside the composition of the market. Its main aim is improving the existing business processes and sees how they make a business much better than it was before. We can also call it business transformation whereby the existing organization transforms the way work is done with a way of improving the services as well reducing the costs. It is also aimed at adding value to the existing business; processes and maintain the ones which are relevant as they are while at the same time minimizing or getting rid of those that do not add value to the organization. The article also speaks about organizational culture. An organization is a work setting which comprises of employees. These may be in different departments e. g. sales and marketing, production, and transport department. These departments are interdependent and they support one another in their functions. Their main aim is for the organization to achieve its goals and objectives. It comprises of employees who are the human resources. Culture in itself is beliefs, norms, attitudes, values and experiences of an organization and the people who work there. Organizational culture is the way things are done there. There is a trend of the way the management operates and the way people behave and the manner in which they work. An example of an organization culture is the role culture where emphasis is laid on the concentration on the task carried out. Teamwork is also is a type of culture where tasks are accomplished by a group of people working together with a common goal. They however work as a tea m but this they do in order to achieve the organization goals and objectives as a whole. This is the analysis of the existing business processes in which case is the way tasks are carried out in an organization and working towards transforming them and implementing the new process with the aim improving products and services that the organization offers. A group of processes are observed whereby individual tasks are allocated to a team with a wide range of expertise to accomplish with the main aim of achieving the organization goals and objectives. It is also aimed at improving the organization efficiency and effectiveness. The main aim of BPR is to increase an organization competitive advantage and a new competitive edge. An organization can achieve its goals a fresh through business process reengineering since it is as good as new. Cost is the price at which the end product is sold for. In cost strategy the consideration is to penetrate the market with a low price while at the same time offering the standard quality product and even better than that of the competitor but a lower cost. This will be seen to give an organization the competitive edge. The key issue is to maintain the quality of the product while liasing with all the department s in order to ensure that at all costs the cost is reduced from the marketing department to the production department. Cost reduction should be considered in all aspects of the organization and in the whole business process as a whole . this will enable the organisation to reach the consumer with a high quality product and a t a favourable price. Another organization process is production. This is the conversion of the raw materials into a product. The organization has a plant in which there is manual machinery which is used in the production process. Human effort is considered in loading the materials some of them onto the machinery for production. Efficiency is required in order to ensure that the product at the end of the day is prepared on time and also should be of the standard quality. At all times the organization should seek ways to ensure that the costs of production are kept at the minimum in order to ensure that the product reaches the market at a low price, in order to enjoy a competitive advantage. This is the computerized use of machinery. The machinery in the organization is controlled using computers and all the production processes are computer controlled. This will ensure that the product is of high quality, speed will be increased since the machines work much faster than human beings. Efficiency is enhanced where there is continuity of the work being done as well as the uniformity since the machines do not take days off. This will ensure that the supply of products in the market is constant and availability is enhanced. Supplies also can be made even on orders which have been made over a short period of time since the machinery can be able to meet the production to be done with the minimum time possible. This can also ensure that there is a reduction in the cost of production where there are no many human resources required together with the expenses that go with them like medical cover, housing allowances, as well as pension funds. Cost reduction is effective, and it ensures that the product at the end of the day penetrates the market at a very low cost which will enable the organization to build a large customer base, and also expand its market share. This is a combination of beliefs, attitudes, norms adopted by people in an organization and the manner in which they work. It is best described as a collection of norms and values by people and groups working in an organization. This is a type of culture where efforts are directed towards a product or a service being delivered. it brings human resources together and also pulling resources together for the benefit of coming up with the best possible product or service. It is a team culture whereby a team is built and it is assigned a certain project with an aim of achieving a certain goal and objective. In this culture the team is composed of people qualified in different fields of expertise and is marked by sessions of brainstorming where ideas are formed on how to accomplish the set task. There is also an element of friendliness, as the members all the employees working in a team have to combine efforts and hence each one of them is as important and hence they have got to form alliances. It is from expertise that power is derived. Team members have a scope of ideas which they bring on board and contribute towards accomplishment of the set tasks. The main aim is to reduce costs in all aspects of the organization from sales and marketing and other departments to production. This will ensure that the end consumer will enjoy a lower price of the product than that of the competitor. Cutting costs should be considered in all the organization processes. When the cost is reduced the product is able to penetrate the market at a relatively lower price than that of the competitor products. This will increase the market share as well as the profits. When there is an increase in the profits the organization will also be able to run efficiently and be able to meet its consumer needs as well as enjoy growth in terms of better service and product delivery. This can be achieved through mass s production and distribution, reduction of waste and also a reduction of the market force while also maintaining a goal oriented team. This is the time for business process reengineering. It should be considered since it is for the better of the organization where it gets rid of obsolete business processes and introducing and bringing fresh ideas and ways of working in an organization in order to come up with fresh ideas as well as improve the organization efficiency in delivery of products and services. Organization culture plays an important role in the way an organization operates. It is very important that an organization adopts a culture that favours its goals and objectives and enhances the growth of the organization as well as ensure that it encourages the employees to work towards achieving the organization goals.

Whitefield/Wesley & Predestination

John Wesley’s sermon, entitled â€Å"Free Grace† was published in August, 1739. In it he attempted to show how God’s grace is â€Å"free in all and free for all. † His message was strongly directed toward the doctrine of predestination and election, which was held to by many believers in Wesley’s day. He believed that this doctrine was a dangerous one and that it blasphemed the very person and nature of God. In response to Wesley, George Whitefield wrote â€Å"A Letter from George Whitefield to the Rev. John Wesley. Whitefield saw Wesley’s doctrine of â€Å"free grace† as being the one that was blasphemous and dangerous to the faith.He argued that the Bible clearly presents the doctrine of predestination, and that any doctrine that stated otherwise led to the heresy of universalism. The two men had worked together in the ministry for quite some time when these two documents were published. Wesley adopted many evangelical views of Chri stianity when he was converted, but he retained some of his pre-conversion beliefs concerning predestination. When Whitefield left England on a trip, Wesley quickly published his sermon on â€Å"free grace. When Whitefield returned, he was determined to respond and set the record straight. Both of these men presented strong arguments supporting both of their views. It is difficult to compare the two equally, because Whitefield only addresses certain issues in Wesley’s sermon and not it’s entirety. That being said, I believe that George Whitefield’s arguments concerning predestination and soteriology are superior to John Wesley’s due to how he handles Scripture and logical thought. Wesley’s sermon on â€Å"free grace† had six major points.For the purpose of this paper, I have selected for discussion only the points that Whitefield directly addressed in his letter of response. In doing so, I hope to make apparent that Whitefield had a much st ronger argument and a much more biblical understanding of predestination in soteriology. Wesley begins his sermon with a fair and accurate assessment of the possible views a person might hold, concerning predestination. He clearly shows that while many people may say that they only hold to certain parts of the doctrine, they ultimately believe in the whole.He defines the doctrine as, â€Å"As virtue of an eternal, unchangeable, irresistible decree of God, one part of mankind are infallibly saved, and the rest infallibly damned; it being impossible that any of the former should be damned, or that any of the latter should be saved. † This is a very good and biblical definition of predestination, but the implications Wesley draws from it are not. The first error that Wesley concludes is that predestination eliminates the need for evangelism. He says, â€Å"[Preaching] is needless to them that are elected; for they, whether with preaching or without, will infallibly be saved. In other words, if God will unconditionally elect some people, then it is unnecessary for those people to be evangelized. The same goes for the non-elect. If they are to be unconditionally damned to hell, then evangelism will have no effect in saving them. In Predestination Calmly Considered, he says: â€Å"His ministers indeed, as they know not the event of things, may be sincere in offering salvation to all persons, according to their general commission, ‘Go ye into all the world, and preach the gospel to every creature. But how can God or Christ be sincere in sending them with this commission, to offer his grace to all men, if God has not provided such grace for all men, no, not so much as conditionally? † I believe that Whitefield has a much clearer understanding of Scripture when he responds to Wesley’s statement concerning evangelism. He asks, â€Å"Hath not God, who hath appointed salvation for a certain number, appointed also the preaching of the Word as a means to bring them to it? † Whitefield understood that evangelism is the means that God uses to bring His elect to salvation.Whitefield goes on saying, â€Å"Since we do not know who are elect and who are reprobate, we are to preach promiscuously to all. For the Word may be useful, even to the non-elect, in restraining them from much wickedness and sin. † Whitefield could see how beneficial the Word is for both the elect and reprobate. Scripture supports Whitefield on this matter, especially in Romans 10. Paul explains that â€Å"faith comes from hearing, and hearing through the word of Christ,† and earlier he asks, â€Å"How are they to hear without someone preaching? And how are they to preach unless they are sent? The Bible clearly states that the only way that the elect will come to faith in Christ is through evangelism. John Calvin also viewed evangelism and predestination in the same light as Whitefield. He concluded: â€Å"Since we do not know who belo ngs to the number of the predestined and who does not, it befits us so to feel as to wish that all be saved. So it will come about that, whoever we come across, we shall study to make him a sharer of peace†¦ even severe rebuke will be administered like medicine, lest they should perish or cause others to perish. But it will be for God to make it effective in those whom He foreknew and predestined. Calvin would have supported Whitefield’s view of evangelism over Wesley’s for certain. The second point of argument concerns predestination and holiness. Wesley says, â€Å"[Predestination] has a manifest tendency to destroy holiness in general; for it wholly takes away those first motives to follow after it, so frequently proposed in Scripture, the hope of future reward and fear of punishment, the hope of heaven and fear of hell. † According to Wesley, those who hold to the doctrine of predestination do not have the same desire to seek holiness as those who do no t hold to it.He even makes the assertion that followers of predestination are more temperamental, especially when confronted with opposition to their doctrine. I believe that Whitefield has the stronger argument when h simply asks how this can be so? Wesley ultimately presents no proof of his assertions, but instead makes accusations from what Whitefield suspects is an experience of debating men who hold to predestination. Those men must have had a strong religious zeal that Wesley misunderstood as narrow-mindedness and hostility that flowed from their doctrinal beliefs.Wesley explains that it is expected that those who â€Å"contend earnestly for the faith once delivered to the saints† will bring strong opposition to error. Thirdly, Wesley says predestination â€Å"tends to destroy the comfort of religion, the happiness of Christianity. This is evident as to all those who believe themselves to be reprobated, or who only suspect or fear it. † He claims that those who h old to the doctrine of predestination do not have the comfort of the assurance of salvation since they can never be sure if they are one of the elect or not.They will at some point and time become doubtful of their salvation, even when they have the witness of the Holy Spirit. Wesley also claims that many people throughout the world who do not hold to predestination â€Å"enjoy the uninterrupted witness of his Spirit, the continual light of his countenance, from the moment wherein they first believed, for many month or years, to this day. † Once again, I believe that Whitefield tears down Wesley’s argument when he asks, â€Å"How does Mr. Wesley know this, who never believed election? In other words, how could Wesley have understood the heart of a person who believes in predestination if he never believed in the doctrine himself? He presents a selection from the reformers that show how they were holders of predestination and yet still described the Christian life as b eing â€Å"full of sweet, pleasant, unspeakable comfort to godly persons, and such as feel in themselves the working of the Spirit of Christ†¦Ã¢â‚¬  Evidently the heart of the elect is not full of turmoil and despair after all.In response to Wesley’s belief that some people in the world experience uninterrupted assurance, Whitefield asks how he could ever have known such a thing. There is no way that Wesley could have made contact with people all over the world that had these experiences. Whitefield understood that everyone goes through doubts and never as a life-long period of assurance of salvation. Even Jesus Christ experienced times of doubt in the garden, and what greater moment of darkness has ever been experienced than that of His time on the cross, crying, â€Å"My God! My God!Why hast thou forsaken me? † Wesley then asks, â€Å"How uncomfortable a thought is this, that thousands and millions of men, without any preceding offense or fault of theirs, wer e unchangeably doomed to everlasting burnings! † To Wesley, the doctrine of predestination is a terrible one because it condemns men to hell that are undeserving of such punishment. He does not see original sin as being the cause for people’s damnation. In his work, Predestination Calmly Considered, he says, â€Å"Perhaps you will say they are not condemned for actual but for original sin.What do you mean by this term? The sin which that Adam committed in paradise? That this is imputed to all men, I allow†¦But that any will be damned for this alone, I allow not. † Whitefield had a better understanding of this matter. He viewed all men as being deserving of hell due to the imparted sin of Adam’s rebellion in the garden. He charges that if Wesley denies the doctrine of original sin, then he must take on the doctrine of reprobation for whether Wesley believed it or not â€Å"the Word of God abides faithful: ‘The election hath obtained it, and the rest were blinded. † The final issue of debate is over the doctrine of predestination and the Bible. Wesley says, â€Å"[Predestination] hath also a direct and manifest tendency to overthrow the whole Christian Revelation. The point which the wisest of the modern unbelievers most industriously labour to prove, is, that the Christian Revelation is not necessary. † According to Wesley, the Bible is not necessary because the elect would find faith without it since their salvation is decreed by God.This is very similar to his argument concerning predestination and evangelism. Whitefield again has a great answer saying, â€Å"It is only by the Christian revelation that we are acquainted with God’s design of saving his church by the death of his Son. Yea, it is settles in the everlasting covenant that this salvation shall be applied to the elect through the knowledge and faith of him. † He goes on saying that the Bible is a necessity because it is only through S cripture that God’s eternal decrees of salvation take effect.We cannot separate God’s means from His ends or His ends from His means. Wesley then goes on to say that Scripture in light of predestination contradicts itself. He uses the case of â€Å"Jacob have I loved, but Esau I have hated,† as implying that God â€Å"in a literal sense hated Esau, and all the reprobated, from all eternity. † He sees this as a contradiction due to Scripture saying that â€Å"God is love. † He did not view this passage as being a literal hating of the persons of Jacob and Esau, but instead of the temperament within them.In Predestination Calmly Considered, he states, â€Å"According to Scripture [God’s] unchangeableness of affection properly and primarily regards tempers and not persons; and persons only as those tempers found in them. † I believe Whitefield has a better argument since he holds to a more literal interpretation of the Bible without cont radiction. He argues that it is not changing God’s character to love Jacob and hate Esau. He says, â€Å"Might not God, of his own good pleasure, love or show mercy to Jacob and the elect—and yet at the same time do the reprobate no wrong?But you say, â€Å"God is love. † And cannot God be love, unless he shows the same mercy to all? † In the same way, Wesley argues that, in the eyes of the person who holds to predestination, the passage â€Å"I will have mercy on whom I will have mercy† means that God is love only to the elect and not to the non-elect. He says that this is in direct contradiction to Psalm 114:9, saying, â€Å"The Lord is loving unto every man; and his mercy is over all his works. † If God is loving to everyone, then how can He show mercy to only some?Whitefield says that this mercy mentioned is not saving mercy. He is loving to all in that he sends his rain upon the evil and upon the good, but He only sends his saving grace to the elect. He has the right to do this because, as Whitefield puts it, â€Å"[He] is a debtor to none, and has a right to do what he will with his own, and to dispense his favours to what objects he sees fit, merely at his pleasure. † He uses Romans 9:15 and Exodus 33:19 to back up this statement: â€Å"I will have mercy on whom I will have mercy, and I will have compassion on whom I will have compassion. †Overall, Wesley tries to tear down the doctrine of predestination in light of his doctrine of â€Å"free grace. † To Wesley grace is free to every individual person in the world, and it is on the basis of acceptance or rejection of that grace that a person is sent to hell or heaven. He explains the unchangeable decrees of God in light of free grace in Predestination Calmly Considered: â€Å"He has unchangeably decreed to save holy believers, and to condemn obstinate, impenitent unbelievers. † According to Wesley, a person’s eternal destiny li es solely in whether or not he accepts God’s â€Å"free grace. †I believe Whitefield sums Wesley’s argument up well when he states, â€Å"You plainly make salvation depend not on God’s free grace, but on man’s free-will. † If this is the case then like Whitefield said, â€Å"It is more probable Jesus Christ would not have had the satisfaction of seeing the fruit of his death in the eternal salvation of one soul. Our preaching would then be in vain, and all the invitations for people to believe in him would also be in vain. † Both Wesley and Whitefield knew the Scriptures well, but I believe it is Whitefield that truly understood how important election is in the believer’s theology.Wesley tried to use Scripture to back up his points, but his interpretation of passages led him into the territory of universalism. I believe that due to this dangerous direction it is Whitefield who had the correct understanding of predestination and soteriology. On my honor, I have neither given nor taken improper assistance in completing this assignment. Word Count: 2455 ——————————————– [ 1 ]. Ibid. [ 2 ]. Wesley, Predestination Calmly Considered, 268. [ 3 ]. Whitefield, George. â€Å"A Letter from? George Whitefield? to the? Rev. Mr. John Wesley,† 59. [ 4 ]. Ibid. [ 5 ].Calvin, John, Concerning the Eternal Predestination of God, trans. J. K. S. Reid (London: James Clarke and Co. , Limited, 1961), 138. [ 6 ]. Wesley. â€Å"Free Grace,† 117. [ 7 ]. Whitefield. 61. [ 8 ]. Wesley. â€Å"Free Grace,† 119. [ 9 ]. Ibid. [ 10 ]. Whitefield. 62. [ 11 ]. Ibid. [ 12 ]. Wesley. â€Å"Free Grace,† 119. [ 13 ]. Wesley. Predestination†¦, 263. [ 14 ]. Whitefield. 68. [ 15 ]. Wesley. â€Å"Free Grace,† 120. [ 16 ]. Whitefield. 68. [ 17 ]. Wesley. â€Å"Free Grace,† 120. [ 18 ]. Wesley. Predes tination†¦, 279. [ 19 ]. Whitefield. 69. [ 20 ]. Ibid. [ 21 ]. Wesley. Predestination†¦, 279. [ 22 ]. Whitefield. 71. [ 23 ]. Ibid.